Provider Demographics
NPI:1821362948
Name:SWABY, I'KYORI (MD)
Entity Type:Individual
Prefix:DR
First Name:I'KYORI
Middle Name:
Last Name:SWABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:I'KYORI
Other - Middle Name:
Other - Last Name:SWABY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:631 EASTERN PKWY APT 3C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3316
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 HIGHVIEW AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1024
Practice Address - Country:US
Practice Address - Phone:646-479-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265998207P00000X
CT69123207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine